Ivds Of Lumbar Spine Rating
Posted 09 December 2008 - 08:09 PM
back in 2006 I was given rating of 60% for degenerative disc disease of lumbar spine with status post laminectomy and lumbar fusion. I received a letter from the VA stating my diagnosis is changed to IVDS of lumbar spine s/p laminectomy and lumbar fusion with scar and degenerative disc disease. The closest analogous peripheral nerve is the deep peroneal nerve. Remarks for the VA Dr. the effect of the condition on the claimant's daily activity is severe. Question: What does this mean and will my rating go down or will it increase. Thanks, Kevin
Posted 09 December 2008 - 09:47 PM
Edited by jbasser, 10 December 2008 - 07:14 AM.
Posted 10 December 2008 - 07:02 AM
Posted 10 December 2008 - 03:51 PM
Regarding the peroneal nerve and radiculopathy; they don't like to give very high ratings for radiculopathy. The VA Training Letter on IVDS states that the majority of rating for nerve damage should be fixed at 10%, with severe cases being assigned a 20% evaluation. I don't know exactly where they come up with this at, but the highest ratings for lumbar radiculopathy involve a foot drop and weakened motion below the knee, and can go up to 80% when rated under dx code 8520 (sciatic nerve). The highest rating for dx code 8521 (external popliteal nerve/common peroneal) is 40% with a foot drop. The majority of IVDS sufferers have sciatica, which means that they should be rated under dx code 8520. Do your best to get a doc to give you a written diagnosis of sciatica, and to accurately note any loss of sensation, loss of strength, loss of movement, and muscle atrophy.
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